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Printable Order And Fax Form
Main (Home) Page
Phone Your Order
Fax Your Order
Mail Your Order

Phone your order in:

Mon - Fri. / 10 - 5 pm
Eastern Time Zone
(888) 791-7212

Print and fill out form.
Fax to:

517-857 2112

Print and fill out form.
Mail to:

Tallcoat Corporation
23848 27 1/2 Mile Rd
Springport, MI 49284-9426
Product Code
Quantity
Description
(Color, Size etc....)
Price Each
Total
         
         
         
         
         
         
         
Michigan sales tax for Internet commerce is 6%
Visa
 
MasterCard
 
Discovery
 
American Express
 
Sub Total
 
Sales Tax 6%
 
Shipping
 
Order Total
 
Card Number
 
Expiration Date
 
Signature
 
The address provided here must match your credit card billing address. Physical Addresses Only, no P.O. Boxes or
APO/FPO Addresses. This is an additional security feature for your protection and safeguard.
Billing Information
(Please use Card Holder's name and address)
Name
 
Address
 
City
 
Zip Code
 
Phone
 
E-mail
 
Shipping Information
(Fill only if different from Billing Address)
Name
 
Address
 
City
 
Zip Code
 
Phone
 
E-mail
 
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